You could start as an assistant office manager in a health centre or hospital and do training to work your way up.

You could apply directly to become a GP practice manager.

You'll usually need to have a business background and be an experienced manager with a management qualification.

It might be useful if you have experience working in health or social care.

You could do a training course with the Association of Medical Secretaries, Practice Administrators and Receptionists (AMSPAR) to get qualified.

Qualifications include:

• Level 3 Diploma in Medical Administration
• Level 3 Certificate in Medical Principles for the Administrator
• Level 5 Primary Care and Health Management

You can do these courses at an approved training centre, college or online. For some qualifications, you'll need to be working in a job related to health.

You'll need:

• to be thorough and pay attention to detail
• business management skills
• knowledge of English language
• administration skills
• leadership skills
• the ability to work well with others
• excellent verbal communication skills
• patience and the ability to remain calm in stressful situations
• to be able to use a computer and the main software packages competently

You'll need to:

• pass enhanced background checks

As a GP practice manager, you could:

• supervise medical secretaries and manage reception
• manage medical records and appointment systems
• make sure the practice meets its financial targets
• monitor prescriptions, order stock and organise rotas
• arrange cleaning, maintenance and security for the building

You could work at a GP practice or at a health centre.